Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Primary Care, LLC

Organization Family Medicine Physician · NPI 1114784188

Tidalhealth Primary Care, LLC is a Family Medicine Physician in Salisbury, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

560 Riverside Dr Ste B204
Salisbury, MD 21801-4703
Phone: (410) 543-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114784188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrator Officer · (410) 543-7497
Other names Tidalhealrh Family Medicine Practice; Tidalhealrh Family Medicine Practice
NPI enumeratedMarch 5, 2024
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address560 Riverside Dr Ste B204, Salisbury, MD 21801-4703

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